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Adult nursing
Paying attention to cultural context matters in advance care planning and palliative care
  1. Sarah Russell
  1. Professional and Practice Development Team, Dementia UK, London, UK
  1. Correspondence to Dr Sarah Russell, Practice and Professional Development, Dementia UK, London EC3N 1RE, UK; sarah.russell{at}

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Commentary on: Lin CP, Evans CJ, Koffman J, et al. What influences patients' decisions regarding palliative care in advance care planning discussions? Perspectives from a qualitative study conducted with advanced cancer patients, families and healthcare professionals. Palliat Med 2019; Epub ahead of print Aug 1. doi:10.1177/0269216319866641.

Implications for practice and research

  • More evidence is needed to understand the cultural aspects of palliative care.

  • Paying attention to and acting on cultural context facilitate better culturally sensitive, person-centred advance care planning and palliative care.


Advance care planning is largely derived from Western countries,1 with a reliance on Western concepts of autonomy and decision making.2 Much advance care planning research is from the USA, UK and Europe,3 despite significant international cultural differences in the concept of autonomy and decision making.4 5 …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.